Starfile

Starfile / Utah

Sandy Health and Rehab

50 East 9000 South, Sandy, UT 84070 · CCN 465111

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
141
Avg residents/day
100.8
Phone
8015619839

Inspection history vs Utah & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityUtah avgNational avgvs state
12025-04-16109.19.5+0.9 worse
22023-08-16478.49.8+38.6 worse
32021-10-191710.39.3+6.7 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident rights2
Nutrition and dietary3
Environmental1
Administration2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2367.6%
RN staffing (reported)0.8335.3%
Total nurse staffing (adjusted)3.13

Fines & penalties

Total fines
$89,798
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
CASCADES HEALTHCARE
Facilities in chain
20
Chain avg overall
2.00 / 5

Inspection citations (74)1 immediate jeopardy12 actual harm

  1. EF0567Honor the resident's right to manage his or her financial affairs.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  2. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  4. DF0775Keep complete, dated laboratory records in the resident's record.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  5. DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  6. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  7. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  9. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  10. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-16 · Health · corrected 2025-05-20

    Potential for more than minimal harm

  11. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-15 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  12. DF0610Respond appropriately to all alleged violations.2024-08-15 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  13. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  14. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-15 · Health · corrected 2024-10-01

    Actual harm

  15. DF0760Ensure that residents are free from significant medication errors.2024-08-15 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  16. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  17. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  19. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  20. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  21. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  22. HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  23. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  24. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  25. EF0610Respond appropriately to all alleged violations.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  26. DF0641Ensure each resident receives an accurate assessment.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  27. GF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  28. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  29. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  30. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  31. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  32. GF0679Provide activities to meet all resident's needs.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  33. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  34. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  35. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  36. GF0692Provide enough food/fluids to maintain a resident's health.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  37. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  38. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  39. GF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  40. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  43. EF0759Ensure medication error rates are not 5 percent or greater.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  44. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  45. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  46. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  47. DF0775Keep complete, dated laboratory records in the resident's record.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  48. DF0790Provide routine and 24-hour emergency dental care for each resident.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  49. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  50. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  51. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  52. LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-16 · Health · corrected 2023-09-30

    Immediate jeopardy

  53. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  54. HF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  55. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-16 · Health · corrected 2023-09-30

    Actual harm

  56. EF0880Provide and implement an infection prevention and control program.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  57. EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2023-08-16 · Health · corrected 2023-09-30

    Potential for more than minimal harm

  58. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  59. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  60. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  61. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  62. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  63. DF0685Assist a resident in gaining access to vision and hearing services.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  64. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  65. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-19 · Health · corrected 2021-11-26

    Actual harm

  66. DF0692Provide enough food/fluids to maintain a resident's health.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  67. CF0732Post nurse staffing information every day.2021-10-19 · Health · corrected 2021-11-26

    Potential for minimal harm

  68. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  69. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  70. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  71. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  72. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  73. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

  74. FF0880Provide and implement an infection prevention and control program.2021-10-19 · Health · corrected 2021-11-26

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BEAVER VALLEY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-02-01
CASCADES HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-01-01
BAIRD, GREGORYIndividualOPERATIONAL/MANAGERIAL CONTROL2023-01-01
FULLMER, CHADIndividualOPERATIONAL/MANAGERIAL CONTROL2018-09-18
MCSPADDEN, DARINIndividualOPERATIONAL/MANAGERIAL CONTROL2018-09-18
NEEDLES, TIMOTHYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-08-27
BARNEY, JANETTIndividualCORPORATE DIRECTOR2018-09-18
BROWN, GARYIndividualCORPORATE DIRECTOR2018-09-18
FULLMER, CHADIndividualCORPORATE DIRECTOR2018-09-18
SMITH, VALIndividualCORPORATE DIRECTOR2018-09-18
WHITE, CRAIGIndividualCORPORATE DIRECTOR2018-09-18
LANGFORD, SCOTTIndividualCORPORATE OFFICER2014-07-01
MCSPADDEN, DARINIndividualCORPORATE OFFICER2023-01-01

Other facilities in Sandy

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.